MOUNTAIN ORAL & MAXILLOFACIAL SURGERY
NPI: 1245676907
· ARVADA, CO 80005
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 05/21/2013
Provider Details
| Authorized Official | RYAN, ROBERT (PRESIDENT) |
| NPI Enumeration Date | 05/21/2013 |
Related Entities
Other providers sharing the same authorized official: RYAN, ROBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
73 |
$3K |
| 2019 |
284 |
$30K |
| 2020 |
62 |
$3K |
| 2021 |
24 |
$1K |
| 2022 |
26 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
42 |
14 |
$11K |
| D0330 |
Panoramic radiographic image |
168 |
167 |
$9K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
42 |
42 |
$8K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
175 |
174 |
$7K |
| D9222 |
|
42 |
42 |
$4K |